CLIA lab

CLIA 11D0891563: Georgia Urology PA Jasper

Jasper, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D0891563 belongs to Georgia Urology PA Jasper in Jasper, GA.

Certificate for Provider-Performed Microscopy Procedures, effective September 12, 2026, expires September 11, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate for Provider-Performed Microscopy Procedures
Certificate effective
September 12, 2026
Certificate expiration
September 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 12, 1994
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D0891563
Lab name
Georgia Urology PA Jasper
Address
220 J L White Drive, Suite 160, Jasper, GA 30143
Phone
(706) 692-4384

Annual test volume the lab reported

Waived tests
1,200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Jasper, GA

Related

Questions

What is the CLIA number for Georgia Urology PA Jasper in Jasper?

11D0891563, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Georgia Urology PA Jasper hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 11D0891563 expire?

The CMS file lists September 11, 2028 as the certificate expiration date; the certificate took effect September 12, 2026.

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